Open Access
CC BY 4.0 · Surg J (N Y) 2025; 11: a26315735
DOI: 10.1055/a-2631-5735
Original Article

The Silent Teacher's Role in Surgical Training: A Cross-Sectional Study on Medical Students' and Surgical Trainees' Attitudes toward Cadaveric Dissection

1   T&O Department, Morriston hospital, Swansea Bay UHB, Swansea, United Kingdom
,
2   T&O Department, Maidstone hospital, Maidstone and Tunbridge NHS Trust, Maidstone, United Kingdom
› Author Affiliations
Preview

Abstract

Background

Cadaveric dissection is a cornerstone of surgical training, offering an essential educational tool for surgeons to develop and refine their surgical skills, anatomical knowledge, and understanding. This study aimed to investigate the socio-cognitive perceptions and attitudes of medical students and postgraduate surgical trainees regarding human body dissection. Specifically, the study sought to determine participants' satisfaction and engagement with factors that enhance positive learning outcomes.

Materials and Methods

This descriptive cross-sectional study utilized an online questionnaire with 39 items, distributed via forms to the study population. Data were downloaded, organized in Microsoft Excel®, and analyzed using SPSS with descriptive and inferential statistics. Ethical considerations were addressed, and informed consent was obtained.

Results

A significant majority of participants (77.3%) found dissection engaging and considered it the most effective method for learning and understanding human anatomy. Approximately 84.1% reported that dissection helped them recall theoretical knowledge. Furthermore, 77.7% of participants agreed that dissection should not be replaced by other learning methods in the classroom.

Conclusion

Cadaveric dissection is strongly perceived as a favorable teaching and learning method for anatomy. It provides participants with the knowledge, courage, and confidence to operate on the human body. Incorporating cadaveric dissection into surgical training programs allows surgeons to gain a deeper understanding of anatomical variations and complexities they might encounter in diverse patient populations. This knowledge is invaluable in preparing them to deliver quality surgical care across different cultural and geographic contexts.

Authors' Contributions

E.G. was involved in study design, data acquisition, drafting the article, critical revision, and final manuscript approval. L.M.S.M. was involved in data acquisition and manuscript approval. Both authors have read and approved the manuscript.


Data Availability Statement

All data generated or analyzed during this study are included in this published article. Some supporting data are available from the Ministry of Health/Ministry of Higher Education Sudan, but restrictions apply; they were used under license and are not publicly available. Data are available from the authors upon reasonable request and with permission from the Ministry of Health/Ministry of Higher Education Sudan.


Ethical Approval

Ethical approval was obtained from the Joint Research Ethical Committee of the Ministry of Health and the Ministry of Higher Education in Sudan on March 9, 2023 (Reference number 25/854). Experimental protocols were approved by the Joint Research Ethical Committee, and the study protocol was performed in accordance with relevant guidelines. Data are anonymized, and informed consent was obtained.




Publication History

Received: 23 April 2025

Accepted: 08 June 2025

Article published online:
27 June 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

Bibliographical Record
Elmuhtadibillah Babiker Yousif Gasoma, Leenah Mohammed Salih Mohammed. The Silent Teacher's Role in Surgical Training: A Cross-Sectional Study on Medical Students' and Surgical Trainees' Attitudes toward Cadaveric Dissection. Surg J (N Y) 2025; 11: a26315735.
DOI: 10.1055/a-2631-5735
 
  • References

  • 1 Rajkumari A, Das BK, Sangma GT, Singh YI. Attitudes and views of first-year medical students towards cadaver dissection in anatomy learning. Calicut Med J 2008; 6 (04) e2
  • 2 Dissabandara LO, Nirthanan SN, Khoo TK, Tedman R. Role of cadaveric dissections in modern medical curricula: a study on student perceptions. Anat Cell Biol 2015; 48 (03) 205-212
  • 3 Özcan S, Huri E, Tatar İ. et al. Impact of cadaveric surgical anatomy training on urology residents knowledge: a preliminary study. Turk J Urol 2015; 41 (02) 83-87
  • 4 Sugand K, Abrahams P, Khurana A. The anatomy of anatomy: a review for its modernization. Anat Sci Educ 2010; 3 (02) 83-93
  • 5 Karau PB, Wamachi A, Ndede K, Mwamisi J, Ndege P. Perception to cadaver dissection and views on anatomy as a subject between two pioneer cohorts in a Kenyan medical school. Anat J Africa 2014; 3 (02) 318
  • 6 Elizondo-Omaña RE, López SG. The development of clinical reasoning skills: a major objective of the anatomy course. Anat Sci Educ 2008; 1 (06) 267-268
  • 7 Van Wyk J, Rennie CO. Aprendizaje de la Anatomía a Través de Disección: Percepción de una Amplia Cohorte de Estudiantes de Medicina. Int J Morphol 2015; 33 (01) 89-95
  • 8 Singh R, Shane Tubbs R, Gupta K, Singh M, Jones DG, Kumar R. Is the decline of human anatomy hazardous to medical education/profession?–A review. Surg Radiol Anat 2015; 37 (10) 1257-1265
  • 9 Habbal O. The state of human anatomy teaching in the medical schools of Gulf Cooperation Council countries: Present and future perspectives. Sultan Qaboos Univ Med J 2009; 9 (01) 24-31
  • 10 Qamar K, Osama M. Role of dissection in light of students' perceptions. J Pak Med Assoc 2014; 64 (09) 1021-1024
  • 11 Naz S, Nazir G, Iram S. et al. Perceptions of cadaveric dissection in anatomy teaching. J Ayub Med Coll Abbottabad 2011; 23 (03) 145-148
  • 12 Horne DJ, Tiller JW, Eizenberg N, Tashevska M, Biddle N. Reactions of first-year medical students to their initial encounter with a cadaver in the dissecting room. Acad Med 1990; 65 (10) 645-646
  • 13 Schmidt HG, Rotgans JI, Yew EH. The process of problem-based learning: what works and why. Med Educ 2011; 45 (08) 792-806
  • 14 Yamane Y. Mathematical Formulae for Sample Size Determination. 2nd ed.. Harper and Row; 1967
  • 15 Sharma S, Gupta V. A study on the approach of medical students towards cadaver in the dissection hall. JK Sci 2017; 19 (03) 187-190
  • 16 Izunya AM, Oaikhena GA, Nwaopara AO. Attitudes to cadaver dissection in a Nigerian medical school. Asian J Med Sci 2010; 2 (03) 89-94
  • 17 Vijayabhaskar P, Shankar PR, Dubey AK. Emotional impact of cadaver dissection: a survey in a medical college in western Nepal. Kathmandu Univ Med J 2005; 3 (02) 143-148
  • 18 Biswas R, Bandyopadhyay R. Attitude of first year medical students towards cadaveric dissection: a cross sectional study in a medical college of West Bengal, India. Int J Community Med Public Health 2019; 6: 2679-2683
  • 19 Alhassan A, Majeed S. Perception of Ghanaian medical students of cadaveric dissection in a problem-based learning curriculum. Anat Res Int 2018; 2018: 3868204
  • 20 Subasi NT. Formaldehyde advantages and disadvantages: Usage areas and harmful effects on human beings. In: Biochemical Toxicology - Heavy Metals and Nanomaterials. 2020
  • 21 Usanmaz SE, Akarsu ES, Vural N. Neurotoxic effects of acute and subacute formaldehyde exposures in mice. Environ Toxicol Pharmacol 2002; 11 (02) 93-100
  • 22 Zararsiz I, Kus I, Akpolat N, Songur A, Ogeturk M, Sarsilmaz M. Protective effects of ω-3 essential fatty acids against formaldehyde-induced neuronal damage in prefrontal cortex of rats. Cell Biochem Funct 2006; 24 (03) 237-244
  • 23 Weeks SE, Harris EE, Kinzey WG. Human gross anatomy: a crucial time to encourage respect and compassion in students. Clin Anat 1995; 8 (01) 69-79
  • 24 Finkelstein P, Mathers LH. Post-traumatic stress among medical students in the anatomy dissection laboratory. Clin Anat 1990; 3 (03) 219-226
  • 25 Jones DG. Reassessing the importance of dissection: a critique and elaboration. Clin Anat 1997; 10 (02) 123-127
  • 26 Thorat CG, Jadhav BD. A blind digital watermark technique for color image based on integer wavelet transform and SIFT. Procedia Comput Sci 2010; 2: 236-241
  • 27 Balić V, Rumboldt Z. Public attitudes toward autopsy, organ donation, and dissection. JAMA 1995; 273 (24) 1907
  • 28 Abu-Hijleh MF, Hamdi NA, Moqattash ST, Harris PF, Heseltine GF. Attitudes and reactions of Arab medical students to the dissecting room. Clin Anat 1997; 10 (04) 272-278
  • 29 Dickinson GE, Lancaster CJ, Winfield IC, Reece EF, Colthorpe CA. Detached concern and death anxiety of first-year medical students: Before and after the gross anatomy course. Clin Anat 1997; 10 (03) 201-207
  • 30 Shalev A, Nathan H. Medical students' stress reactions to dissections. Isr J Psychiatry Relat Sci 1985; 22 (1-2): 121-133
  • 31 Aday RH. Belief in afterlife and death anxiety: Correlates and comparisons. Omega 1985; 15 (01) 67-75
  • 32 Cahill DR, Leonard RJ. The role of computers and dissection in teaching anatomy: A comment. Clin Anat 1997; 10 (02) 140-141
  • 33 McLachlan JC, Bligh J, Bradley P, Searle J. Teaching anatomy without cadavers. Med Educ 2004; 38 (04) 418-424
  • 34 Pawlina W, Romrell LJ, Rarey KE, Larkin LH. Problem-based learning with gross anatomy specimens: One year trial. Clin Anat 1991; 4 (04) 298-306